Parkinson's Disease

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Parkinson’s disease is an incurable neurological disorder that affects ~ 3% of the elderly population. Classified as a movement disorder, it often causes tremors, joint stiffness, and even difficulty with speech. The disease is progressive, meaning that it gets worse or does more damage over time. Although the most common and recognized symptoms are physical (tremors), the disease can also cause a number of mental or cognitive effects. Dementia, a broad term defined as a loss of mental ability beyond that of normal aging, is extremely common among Parkinson’s patients. Depression is also quite prevalent among sufferers.

In the article by Williamson, Simpson, and Murray, they argue that the progressive nature of Parkinson’s disease is connected to an increased need for care (as opposed to patients of other illnesses). The article specifically focuses on the stresses and burdens placed on the caregivers themselves, who, in this article, happen to all be the spouses of the patients. Interestingly, the article focuses more on the ‘psychotic symptoms’ of the disease, as opposed to the tremors and other physical symptoms. The authors of this article performed a study interviewing (in depth) 10 caregivers who all happened to be wives of Parkinson’s patients. The only fault I can see with this type of study is the extremely small sample size. It’s difficult to make generalizations about an entire group from the study of only 10 people. However, the study is about a very small specific group, so I think it does work.

One of the experiences that many of the caregivers had in common was confusion as the psychosis first began to develop. Many of these caregivers were simply unaware that this was a possible symptom of Parkinson’s Disease...

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...mptoms provides relief. This “it could be worse” attitude is often a helpful mindset for caregivers.

Altogether, the majority of caregivers preferred to cope by being optimistic. Since the reality of the situation is unable to be altered, the only way to deal with the psychotic symptoms of Parkinson’s is to understand the symptoms and deal with them on a day to day basis. One option that caregivers have is support groups. I find that going through a problem alone is far more difficult than going through it with others. By talking with others who are experiencing the same difficulties, caregivers can share coping techniques and relieve some of the burden.

Works Cited
Williamson, C, and J. Simpson, and C. Murray. (2008). Caregivers’ experiences of caring for a husband with Parkinson’s disease and psychotic symptoms. Social Science and Medicine, 67 (4), pp. 583-589.

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